RENAL SONOGRAPHY IS NOT A RELIABLE SCREENING EXAMINATION FOR VESICOURETERAL REFLUX

被引：91

作者：

BLANE, CE

DIPIETRO, MA

ZERIN, JM

SEDMAN, AB

BLOOM, DA

机构：

[1] UNIV MICHIGAN HOSP,CS MOTTS CHILDRENS HOSP,DEPT PEDIAT & COMMUNICABLE DIS,ANN ARBOR,MI 48109

[2] UNIV MICHIGAN HOSP,CS MOTTS CHILDRENS HOSP,DEPT SURG,ANN ARBOR,MI 48109

来源：

JOURNAL OF UROLOGY | 1993年 / 150卷 / 02期

关键词：

VESICOURETERAL REFLUX; KIDNEY DISEASE; DIAGNOSTIC IMAGING;

D O I：

10.1016/S0022-5347(17)35605-7

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A retrospective analysis of 493 infants and children was performed to determine the reliability of renal sonography for identifying vesicoureteral reflux. Sonography was done in all cases within 8 hours of a voiding cystourethrogram. Vesicoureteral reflux was documented in 272 of 986 kidneys on voiding cystourethrography and -there were 201 refluxing kidneys with normal ultrasound (25 with grade I reflux, 119 with grade II, 50 with grade III, 6 with grade IV and 1 with grade V). In 71 of the refluxing kidneys the ultrasound was abnormal due to pelvicaliceal dilatation in 45, a duplication anomaly in 6 and renal fossae abnormality in 20. Of the kidneys with vesicoureteral reflux 74% were sonographically normal. Sonography was not sufficiently sensitive or specific for detecting vesicoureteral reflux, since 28% of the missed refluxing kidneys had grade III or higher reflux.

引用

页码：752 / 755

页数：4

共 16 条

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